Ukuqhekeka kwe- Lisfranc iphukile amathambo okanye amathambo kwindawo ethile yonyawo lwakho. Kwenzeka apho i-metatarsal, amathambo amathambo ade adibanisa iinzwane zakho ezinyaweni zakho, unamathele emathambo enyawo. Ngamanye amaxesha amathambo e-metatarsal aqhutyelwa xa uxhaphaka iLisfranc . Ukulimala okubuhlungu okungakhokelela kumlinganiselo osebenzayo wokuhamba nokuhamba.
Ukwelapha okwenyama emva kokuphulwa kwe-Lisfranc kubandakanya ukuphucula ukuhamba okuphantsi kunye namandla okukunceda ukubuyisela amandla okuhamba okuqhelekileyo. I-PT yakho inokukunceda ukuba uphinde ufumane ngokupheleleyo kwaye ubuyele kwinqanaba lakho langaphambili lomsebenzi kunye nomsebenzi.
Iimbangela zeFracfracc Fracture
Isizathu esivakalayo sokuqhaqha kwe-Lisfranc siwela ngonyawo lwakho kwindawo engavumelekanga. Khawucinge ukuba ungene emgodini omncinci kwintsi, uze uphawule ngokukhawuleza phezu kweenyawo zakho. Le ntshukumo ephikisayo inokubangela ukuba amathambo amancinci enyawo akho aphule, kwaye iqhagamshelwano elibizwa ngokuba yi- Lisfranc lidibanise liyakunqumla. La mathambo ngokuqhelekileyo ayahlukana aze atshintshele kwelinye icala ngexesha lokuwa, kwaye iigaments ezisekela amathambo zivuthiwe.
Iimpawu zeFracfracc Fracture
Iimpawu eziqhelekileyo zokuqhekeza kwe-Lisfranc ziquka, kodwa azikhawulelwanga:
- Ukuzithoba kweenyawo
- Ubuhlungu enyawo
- Unzima ukuhamba nokubeka uxinzelelo lwakho unyawo
- Ukuqhekeka okanye ukutyhawula unyawo lwakho, ingakumbi phantsi kweenyawo zakho
- Ukukhubazeka onyaweni lwakho
KuPhatha ko kuqala
Ukuba uyakrokraza ukuba une-Lisfranc fracture (okanye nayiphi na inzakalo enkulu) enyawo lwakho, kufuneka ufune unyango ngokukhawuleza. Yiya kugqirha wakho okanye kwisebe eliphuthumayo lendawo ukuba uhlolwe unyawo lwakho. I-x-ray idlalwa rhoqo ukuze iqinisekise okanye ilawule i-Lisfranc fracture.
Emva kokuqhawuka kwe-Lisfranc kuqinisekiswa, ukuphuka kufuneka kuthinteke . Oku kuthetha ukuba amathambo enyawo lwakho kufuneka abekwe kwindawo echanekileyo ukuvumela ukuphilisa okufanelekileyo ukuba kwenzeke. Ngamanye amaxesha, inkqubo yokuhlinzwa eyenziwa ukulungiswa kwangaphakathi ku-ORIF) ingadinga ukuba yenziwe ukuze kuqinisekiswe ukuba amathambo enyawo lwakho kunye noxanduva lwakho lufakwa kwindawo echanekileyo. Oku kubandakanya ukusebenzisa i-screws, i-wire, okanye izikhonkwane zokuzinzisa ukuphuka kwakho.
Emva kokunciphisa i-fracture, unyawo lwakho luya kufuneka lube lukhuni ukuvumela ukuba amathambo aphukile aphilise. Ngeli xesha, ungadinga ukusebenzisa i- walker , i-crutches, okanye ezinye izixhobo zokuncedisa ukuhamba. Ugqirha wakho unokunciphisa umlinganiselo wesisindo ongasifaka kwienyawo zakho ngelixa liphilisa. Qiniseka ukuba ubuze ugqirha wakho malunga nemithintelo enokuthwala ubunzima kwaye ulandele le miqobo ekhuselekileyo ukuze uvumele ukuphulukiswa okusemandleni ukuba kwenzeke.
Yintoni enokuyilindela kwiChristal Treatment
Ekuqaleni, emva kokulimala ungadinga imfundo malunga nendlela ohamba kakuhle ngayo umhamba wakho, umququ okanye umhonkco. Ingcali yomzimba ingakunceda ufunde indlela yokuhamba kunye nesixhobo sakho sokuncedisa , kwaye unokukunceda ukuqinisekisa ukuba ubukhulu becala .
Emva kweeveki ezintandathu ukuya kweyisibhozo zokuphilisa, ugqirha wakho uya kushenxisa ukukhutshwa kwinqanaba lakho kunye neyeza elithile lingaqala ukulungisa inyawo lwakho kunye neenyawo.
Ugqirha wakho unokumisela i-ankle okanye iinyawo ukuba unxibe iiveki ezimbalwa. Oku kunceda ukuzinzisa ukujoyina iqela lakho xa ufumana ukuhamba ngokuqhelekileyo kwinqanaba lakho kunye neenyawo.
Ukutyelela kwakho kokuqala kunyango lomzimba emva kokuqhaqha kwe-Lisfranc kuya kubandakanya ukuhlolwa kokuqala apho umphathiswa wakho wenyama eqokelela ulwazi malunga nokulimala kwakho kunye nesimo sangoku. Ukukhubazeka okuqhelekileyo okulinganiswe ngexesha lo kuqesha kuquka:
- Ukuhamba kwesindululo
- Amandla
- Ubuhlungu
- Gait
- Ukuvuvukala
Emva kokuqokelela ulwazi malunga neemeko zakho, umgulana wakho womzimba unokumisela unyango olululo ukuba uphinde uhambe ngokuqhelekileyo.
Eminye imisebenzi kunye nonyango onokuyenza xa unyango lwamaziko lubandakanya, kodwa aluphelelanga:
- Indlela yokwelapha: Ukukhupha kunye nentlungu inokuba khona enyawo lwakho, ngakumbi ekuqaleni emva kokususa i-cast yakho kwaye uqale ukufumana unyawo lwakho kunye neenyawo zihamba. Umgulana wakho womzimba angagqiba ekubeni asebenzise ibhantshi ye-whirlpool , iqhwa, ukushisa okanye ukuvuselela ugesi ukukunceda ukulawula intlungu kunye nokuvuvukala kwinqanaba lakho kunye neenyawo. Uhlobo oluthile lokuvuselela ugesi olubizwa ngokuba yi- neuromuscular electrical stimulation lungasetyenziselwa ukukunceda izihlunu zakho zifikelele kwimvumelwano. Qinisekisa ukuba ubuze imibuzo eninzi malunga nokusetyenziswa kwezigqeba kunye nemimiselo. Amaninzi amaninzi kunye neendlela zokuziphatha azibonakalisi, kwaye ezininzi iingcaphephe zibonisa ukuba ukulungiswa okuyimpumelelo kukufuna ukuba uthathe inxaxheba ekusebenziseni nasekuhambeni.
- Uqeqesho lokufumana umvuzo: Uqeqesho lokufumana uqeqesho olukhethekileyo kunye nokuzivocavoca ukukunceda ukuphucula amandla akho okuhamba. Umgqirha wakho wenyama angenza iingcebiso apho isistim sokuncedisa esiya kulungela ukuba uyisebenzise ngexesha lokubuyiswa kwakho. Unokunyuka ukusuka kwi-walker ukuya kwiingqungquthela, uze ufike kwi- quad umdaka okanye umhonkco osemgangathweni, kwaye ugqirha wakho womzimba unokuqinisekisa ukuba usebenzisa idivayisi yakho ngokufanelekileyo.
- Ukunyangwa komzimba: Ukuzivocavoca kwemithi emva kokuphulwa kwe-Lisfranc kuququzelelwa ukuzithobela okuqhelekileyo ukuhamba ngokuqhelekileyo kwinqanaba lakho kunye neenyawo. Izenzo zokunyakaza kunye neendlela ze-alfabhethi zokuzivocavoca zinokuncedisa i-ankle kunye neenyawo zihamba kakuhle. Ukusebenza ngokuzimelela kufuneka kugxininise ekuphuculeni ubude bezihlunu ezinyaweni zakho nasezinqeni. Amandla anokuphuculiswa kunye nokuzivocavoca. Njengoko uqhubela phambili ngonyango lomzimba kwaye ufumane ukuhamba okungakumbi, ibhalansi ephakamileyo kunye nokuqeqeshwa kokungena kwimihlaba ingaqaliswa . Ukuba unqwenela ukubuyela kumgangatho ophezulu wezemidlalo, uvavanyo lwe-plyometric lungafuneka ukuba umzimba wakho ujwayele ukuxumla nokuhamba ngeenyawo zakho.
- Ulwaphulo lwencwadi: Ulwaphulo lwemihlahlandlela lubandakanya umgulana wakho wezandla usebenzisa izandla zakhe ukuhambisa unyawo lwakho kwiindlela ezithile zokuphucula ukuhamba. Ukuba utyunyiwe , kubalulekile ukuba uququzelele izicubu ezinqamlekileyo ukuphucula ukuhamba kwezicubu ezinqabileyo kwiinyawo zakho. Ukuhlanganiswa okuhlangeneyo kunokwenziwa ukuze kuphuculwe ukunyakaza okujikeleza amalunga enyawo lwakho kunye neenyawo, nangona kufuneka kuthathelwe ingqalelo ukuba ungabandakanyeli ukudibanisa kwe-Lisfranc okanye amajoyina eduze kwesiza sokuqhawuka.
Kwiinyanga ezimbalwa emva kokulimala kwakho, kufuneka uhambe ngokuqhelekileyo kunye nentlungu enyawo lwakho kufuneka ukuba ubuncinane. Ngamanye amaxesha, unyawo lwakho lungaqhubeka luhlungu ngenxa yeenyanga ezimbalwa, kwaye unokuba nehlunu xa uhamba, kuxhomekeke kubukhulu bentsholongwane yakho. Qiniseka ukuba uthetha nodokotela wakho kunye nomzimba wenyama xa unenkxalabo malunga nokuhamba kwakho kokusebenza kunye nesiphumo sakho emva kokuphulwa kwe-Lisfranc.
Ukuba unayo i-ORIF, ngamanye amaxesha ugqirha wakho unokufuna ukususa i-hardware eyayisetyenziselwa ukuzinzisa amathambo akho. Oku kuyimfuneko ukuvumela ukunyakaza okuqhelekileyo ukuba kwenzeke kwakhona enyawo. Thetha nogqirha wakho ukuba ubone ukuba oku kuyindlela emva kwakho kokuqhekeka kwe-Lisfranc. Kwakhona, phakathi kweenyawo i-arthritis iyakwenzeka kamva kwimpilo yakho emva kokuphazamiseka kwe-Lisfranc, ingakumbi ukuba iindawo ezidibeneyo zonakaliswe unyawo lwakho.
ILizwi
I-Lisfranc fracture ingaba yingozi eyenza inciphise ukukwazi ukuhamba, ukusebenza, okanye ukubandakanya umsebenzi wezemidlalo okanye wokuzonwabisa. Ngokuzibandakanya ngokusesikweni kwiprogram yokwelapha , ungakwazi ukubuyela ngokukhawuleza kumsebenzi oqhelekileyo kunye nomsebenzi.
Umthombo:
I-Wheeless 'Incwadi Yobungqina Bama-Orthopedics.